American College of Physicians
RESOURCE GUIDE:
Creating and Maintaining a Chapter Council of
Early Career Physicians (CECP)
October 2015
1
American College of Physicians
Council of Early Career Physicians
(CECP) Resource Guide
Table of Contents
Preface
3
I.
Council of Early Career Physicians
4
1. History of Early Career Physician Membership in the College
2. Council of Early Career Physicians Mission and Goals
3. Responsibilities
4
4
5
Creating a Local Council of Early Career Physicians
6
Step
Step
Step
Step
6
7
8
9
II.
1:
2:
3:
4:
Getting Organized
Mission and Goals
Council Operating Rules
Local and National Support and Resources
III.
Involving Early Career Physicians in Chapter Meetings and
Hosting Freestanding Networking Events
10
IV.
Sample Chapter Council Documents
10
V.
Examples of Successful Projects
10
VI.
Summary
11
VII.
2015-2016 Council of Early Career Physicians
11
VIII. Addendum
1. Council Operating Rules Example
2
12
12
Preface
The National Council of Early Career Physicians (formerly known as the
Council of Young Physicians) was established in 2005 to serve as a voice for
early career physician members in the organization and to help them emerge
as leaders in the Internal Medicine community. An Early Career Physician is
defined as a physician member of ACP who is within sixteen (16) years of
medical school graduation and who is not a medical student or associate
member of ACP. Some ACP Chapters have established Early Career Physician
Committees or Councils which provide a forum to address issues that affect
physicians in the early years of their career. They collaborate very closely
with their chapter Governors on issues affecting early career physicians and
often are involved in the planning of programs at their annual chapter
meeting. The National Council of Early Career Physicians encourages each
chapter to establish a local Council of Early Career Physicians (CECP) and will
work closely with you to better represent every early career physician in the
College.
This Resource Guide is designed to assist chapters in developing their own
CECP and enhancing early career physician activities locally. Inside, you will
find fundamental information on starting or enhancing a Council. If your
chapter already has one, this guide will help you organize new programs that
have worked successfully in other chapters. Above all, it is intended to
increase early career physician participation at the local level and involvement
in the chapter governance structure. Early career physician involvement is
essential to keep pace with the changing environment of medicine and needs
of physicians.
The National Council of Early Career Physicians serves as a resource for all
members early in their careers. We are available if you have questions or
suggestions. Please utilize Early Career Physician resources on ACP Online to
see programs and products specific to this stage of your career:
http://www.acponline.org/membership/benefits/physicians/early_c
areer_physicians/
3
I. Council of Early Career Physicians
History of Early Career Physician Membership in the College
In the late 1960's, ACP began an Associate membership class to incorporate
and include internal medicine residents and fellows into the organization,
recognizing that the future of internal medicine, and the College, lies with
these groups. In 1989, a Council of Associates was established within the
committee/council structure to bring the concerns of these members to the
Board of Regents (BOR), Board of Governors (BOG), and other ACP
committees and efforts.
In the 1990's, a program of Medical Student membership was established to
extend the concept of involving younger people and to help encourage more
medical students to specialize in internal medicine. In 1998, a Council of
Student Members allowed this group likewise to influence and provide input to
all levels of the College.
In the late 1990's, ACP became aware of the need to help Associates
transition from their Associate membership to full Membership. One of the
actions taken was to establish a Young Physicians Subcommittee (YPS) in
1999 to help design products and programs to appeal to this group of
members. After several years, the YPS proposed forming a council. The idea
of transforming the subcommittee into the Council of Young Physicians (CYP)
was motivated by a desire to maximize the group’s influence and impact upon
leadership decisions, marketing initiatives, and the development of programs,
products, and services. The Membership Committee and Board of Regents
approved this proposal in January 2005. In 2013, the Council of Young
Physicians (CYP) changed its name to the Council of Early Career Physician to
better incorporate all physicians in the beginnings of their career without the
prior emphasis on age.
National Council of Early Career Physicians
Composition:
The CECP is composed of a Chair who serves as an ex-officio, voting member
on the BOR; Chair-Elect, who must be a member of the Council at the time of
election and who serves as an ex-officio, voting member on the BOG; and
nine (9) at-large members who are selected with consideration given to the
College’s Diversity Policy, as well as specialty and years out of training. These
at-large members also serve on many College Committees, and the AMAYoung Physician Section. All members must be early career physicians at the
4
time of selection to the Council (defined as within 16 years of graduation from
medical school).
Charge:
The council’s work is two-fold.
1. Respond to requests from the Board of Regents, committees and staff
for review of programs, policies, products and services.
2. Advise the BOR on:
•
•
•
•
•
Enhancing professional development for early career physicians
Fostering early career physician involvement in College activities at
both local and national level
Increasing the value of ACP membership for early career physicians
Strengthening chapter level councils and activities for early career
physicians
Aligning council activities with the College’s Strategic Plan
The Responsibilities of National Council Representatives
Council representatives are charged with advising the College regarding the
policy, programs, products and services provided by the ACP for early career
physicians. Representatives also serve as a resource for Chapter CECPs.
They also serve as a mechanism for bringing forward issues from the chapters
to the National CECP, BOG, and/or BOR.
Each Council member is charged with:
•
•
•
•
•
Providing a voice at the national level for early career physicians
Helping establish and providing support for Chapter CECPs
Promoting the development of local early career physician programs
Promoting participation in Chapter meetings and the Annual Meeting
Encouraging professional and leadership development
Elections for seats on the Council are held every year that a seat falls vacant.
Terms are for three (3) years. Elections are staggered to ensure continuity on
the Council. Early Career physicians interested in serving on the Council, or a
member who wishes to nominate an early career physician for the Council,
should contact staff via email at governance@acponline.org
5
II. Creating a Local Council of Early Career Physicians
Approximately 40 ACP chapters have already established Chapter Councils of
Early Career Physicians (some have been called Early Career Physicians
Committees) to foster participation of early career physicians at the chapter
level. To find out what is being done in your chapter, you can contact your
College Governor via the chapter web site section of ACP Online
at http://www.acponline.org/chapters/. The following information will help an
interested early career internist initiate the development of a Chapter Council
for Early Career Physicians. No uniform structure has been mandated which
allows each chapter to create a council structure to meet local needs.
Step 1: Getting Organized
The first step in getting organized should be to meet with the College
Governor to inquire about the existence of interest and availability of
resources to develop and support a CECP, and its activities.
Secondly, you can request ACP staff assistance in obtaining a list of current
early career physician members from the chapter portal. (Chapter Liaisons,
employed by the ACP at the national level, can assist chapters in obtaining
lists of early career physicians and can also send blast emails on behalf of
chapters to their early career physician members). The initial communication
can be via email, telephone, or another mode of communication.
Thirdly, a planning meeting with several interested members is paramount.
At this meeting, the members should agree upon the rationale for establishing
a Chapter CECP and also identify some guidelines and a timeline with specific
goals to be achieved during the first year. It is important that the established
goals are realistic and attainable. You can use the SMART goals mnemonic for
this purpose (Specific, measurable, attainable, reproducible, time oriented)
Unrealistic goals may prompt later discouragement of all involved.
If a Council is being formed de novo, it is important that the Governor and
Governor’s Council are aware of the members and approve its creation and
membership, as appropriate. This facilitates communication between the
Governor and the Chapter Council of Early Career Physicians.
Next, you will want to establish some parameters for your Chapter Council of
Early Career Physicians, such as structure (officers, key members), terms of
service, election of new members, and number of meetings per year. The
sample documents section contains a constitution and bylaws template that
can be modified accordingly. The following are some proposed models that
can be adjusted to suit your needs:
6
Model 1:
Early Career Physician members invited by ACP Governor/Chapter
Council as potential initial council members;
Governor participates as moderator at an initial planning meeting.
Model 2:
2 representatives from each major region within the
chapter/state;2-year (staggered) appointments;
Elected Chair, Treasurer, and Secretary
Special Note: Several established Chapter CECPs have found it beneficial for
their Chair to attend the Governor's Council meeting as either a voting or nonvoting member depending on the structure. Also, one Chapter CECP indicated
that all CECP members are invited to attend the twice yearly Governor’s
Council meetings as observers to meet the chapter leaders and learn about
the chapter structure. Chapters are encouraged to consider these
relationships when developing a Chapter Council of Early Career Physicians.
Step 2: Mission and Goals
The Mission Statement
One of the first steps in forming a Chapter Council of Early Career Physicians
is creating a statement of your mission and goals. This provides you with an
overall vision for the Council. This should mirror the national mission
statement as much as feasible.
Working with your Governor, you can adopt or modify the mission statement
to meet the needs of your Chapter. It should be realistic, measurable, and
attainable. Whatever mission you select, it should be re-examined periodically
and updated as necessary. Governors should provide information to the
Chapter CECP about financing local events.
Goals
Having established the direction you want your Council to take, you now want
to define the goals you want to meet to fulfill your overall mission. Each
should contain a strategy for meeting that goal. Your Council’s goals may
include any or all of the following:
Foster Interest in ACP
7
Encourage early career physician ACP membership and a lifelong
interest in ACP.
Encourage advancement to Fellowship, and
representation on local and national ACP committees.
Foster Educational Opportunities
Encourage participation in local and national ACP activities. Work with
the Governor to create chapter-meeting programs of interest to early
career physicians, including leadership development, maintenance of
certification courses and workshops on other topics of interest to early
career physicians, such as work life balance, coding and billing, etc.
Publicize local and national educational opportunities. Work with medical
organizations to promote continuing medical education.
Assist in the Identification of Practice Improvement Issues
Provide information for early career physicians as they begin their
practice, such as evaluation of practice setting opportunities, junior
faculty development, financial advice, and contract negotiation. The
College’s Center for Practice Improvement and Innovation (CPII) is a
valuable benefit of membership providing timely information to succeed
in today’s healthcare environment:
http://www.acponline.org/running_practice/practice_management/
Support Public Policy Concerns
Monitor local and national health policy and how it relates to internal
medicine and physician welfare. Discuss at the chapter level and
develop resolutions to be taken to the national level. Get involved with
ACP’s Advocates in Internal Medicine program.
Encourage an Interest in Community Service
Encourage participation in community service projects as a means of
stimulating further discussion of volunteer service and promoting the
image of the ACP.
Step 3: Council Operating Rules
Work with your ACP Governor and Chapter staff to identify Council Operating
Rules. There is an attached example that can serve as a guideline regarding
the functions of your Chapter CECP. The example illustrates operating rules
you might include.
8
Step 4: Local and National Support/Resources
Your College Governor is a valuable resource for information about ACP,
current issues at the leadership level, and past and present projects, both
local and national (please refer to http://www.acponline.org/chapters for your
Governor’s name). The Governor, Chapter staff and Chapter CECP should
work together to coordinate early career physician activities at chapter
meetings. Keeping in close contact with your Chapter Governor is a key step
to running an effective chapter council.
While the Chair-elect of the National Council of Early Career Physicians serves
as your connection to the advisory body of the College’s governance (BOG) in
submitting resolutions, and representing issues, the Chair serves as the
liaison between the National CECP and the College’s decision-making body,
the BOR.
Establishing a regular communication link with Council
representatives http://www.acponline.org/about_acp/committees/early_caree
r_physicians/ serves as an efficient mode of communication. They can update
you on early career physician activities in other chapters or at the national
level, help you with questions and issues within your chapter council, and help
you to publicize good ideas and successful projects to the rest of the
membership.
ACP Online’s Early Career Physicians Corner
(http://www.acponline.org/membership/benefits/physicians/early_career_phy
sicians/) This is an excellent source of information for early career physicians
about College leadership, issues being discussed by the College, excerpts from
ACP publications and resources, and up-to-date news briefs about College
activities. Governors and early career physician chapter leaders can also work
with their Chapter Liaison (http://www.acponline.org/cln/liaisons.htm) to send
e-mail and post information about early career physicians’ activities on the
chapter web sites.
John Tooker Evergreen Awards Program
The ACP recognizes that the strength of the organization is grounded in the
local chapters.
Because of this, a program was created to recognize
outstanding chapter efforts. The John Tooker Evergreen Awards Program
provides visibility and recognition to those chapters that have been successful
in
implementing
programs
that
increase
membership,
improve
communication, bolster member involvement and diversity activities, and
foster careers in internal medicine.
9
III. Involving Early Career Physicians in Chapter Meetings and
Hosting Freestanding
Networking Events
Chapter Meeting Programming for Early Career Physicians examples/ideas:
•
•
•
•
•
Host
an
early
career
physician
networking/mentoring
breakfast/lunch/wine tasting event in conjunction with the chapter
meeting. Suggested networking event topics include work/life balance,
contract negotiation, advancing to fellowship, etc.
Invite an early career physician member to join the chapter meeting
program planning committee and have him or her organize courses
and/or networking events targeted at early career physicians to be held
in conjunction with the chapter meeting.
Offer a panel discussion or workshop at the chapter meeting on a topic
that is geared towards early career physicians such as part-time
medicine, work/life balance, coding and billing 101, etc.
Schedule specific time during the chapter meeting for the ACP Governor
or Governor’s Council members to meet and discuss relevant issues with
the Early Career Physicians.
Encourage early career physician members that have a shared national
interest or specific expertise in a topic to share it at the chapter meeting
or other events.
IV. Sample Chapter Council Documents
Please see the CECP Toolkits beginning on page 14.
V. Examples of Successful Projects from Chapter Councils of Early
Career Physicians
•
•
•
•
Host a cocktail reception for early career physicians to introduce them to
the idea of a Chapter Council of Early Career Physicians, applying for
Fellowship, and/or to get involved with chapter meeting planning.
Host a free half-day coding and billing workshop on a weekend morning
targeted at early career physicians.
Host a networking dinner to establish a core group of Early Career
Physician Council Members. The goals of the evening will be to learn
about the Chapter ACP Council of Early Career Physicians and
brainstorm about the things that attendees would like to see the Council
accomplish over the upcoming year.
Host a practice innovations or work/life balance networking luncheon for
local early career physicians.
10
•
Host a monthly webinar on relevant topics (i.e. learning to say no,
promotion, leadership, etc.).
VI. Summary
We hope that this reference has been helpful. Starting a CECP may be a
challenge but the end result is a body within your chapter which provides a
forum for the discussion of early career physician issues, develops programs
for them, and increases opportunities for participation in the chapter
governance structure. We urge you to get involved. We hope that your
Council of Early Career Physicians will bring forward issues that you would like
to be addressed at the national level. We welcome your comments and
suggestions.
For
more
information,
at governance@acponline.org.
contact
ACP
staff
via
email
VII. 2015-16 Council of Early Career Physicians
(http://www.acponline.org/about_acp/committees/early_career_physicians/)
Rebecca A. Andrews, MD, FACP, Chair
Email: reandrews@uchc.edu
Moises Auron, MD, FAAP, SFHM, FACP, Chair-elect
Email: auronm@ccf.org
Micah W. Beachy, DO, FACP
Email: mbeachy@unmc.edu
Sowmya Kanikkannan, MD, FACP, SFHM
Email: skanikk@gmail.com
Tammy Lin, MD, MPH, FACP
Email: tlin3247@gmail.com
Danny Allen Newman, MD, FACP
Email: danny.newman@comcast.net
Sima Pendharkar, MD, MPH, FACP
Email: pendharkars0@gmail.com
Valerie G. Press, MD, FACP
Email: vpress@medicine.bsd.uchicago.edu
11
Samuel Calvin Thigpen, MD, FACP
Email: sthigpen@umc.edu
LCDR Mark P. Tschanz, MC USN, FACP
Email: mark_tschanz@hotmail.com
Richard M. Wardrop, III, MD, PhD, FAAP, FACP
Email: Richard_wardrop@med.unc.edu
VIII. Addendum
Example of Council Operating Rules
Purpose
o Provide a forum to identify and discuss issues of concern to
Chapter/State early career physicians.
o Encourage advancement to Fellowship
o Encourage participation in professional and leadership development.
o Encourage participation in the ACP on a Chapter/State and regional
level.
o Provide representation on the (state) ACP Governor’s Council.
o Encourage continuing medical education opportunities for early career
physicians.
o Provide feedback to the national ACP Council of Early Career Physicians.
Council Structure and Elections
o
o
o
o
A single Chair or Co-Chairpersons and Chair-elect shall be elected.
Secretary/Treasurer shall be elected.
The Chair or Co-Chair shall serve as liaison to the Governor’s Council.
Elections will be held annually in a staggered fashion.
Council Member Duties (including, but not limited to, the following.)
Chairs or Co-Chairs: Organize council meetings, delegate duties, disseminate
information from ACP, and represent (state) at the Annual Meeting. Serve as
a conduit to bring information to and from the national Council of Early Career
Physicians.
Secretary/Treasurer: Record minutes: keep operating rules, and oversee the
budget.
12
Meetings
o The (State) Chapter Council of Early Career Physicians shall meet at
least three times per year.
o The presence of 50% or greater shall constitute a quorum.
o Decisions shall be made by majority vote.
o For absent members, voting may be done by written absentee ballot or
via Email if necessary.
Vacancies
Any vacancies in the Council may be filled by appointment by the Chair or CoChairs, with the approval of the Council.
13
An Approach to Effective Advocacy for Internists
A Council of Early Career Physicians Program toolkit
This document is part of a series intended to assist local ACP Chapters in developing
program content for their members. This is a detailed blueprint for how one local ACP
Chapter developed a program for its members. You may copy this or simply use parts of
it as inspiration for developing content in your own Chapter.
Title: “An Approach to Effective Advocacy for Internists”
Setting of Program: Sit down dinner meeting with our chapter Governor and prior chair
of the CT Health and Public Policy Committee, member of the National Health and
Public Policy Committee, and winner of the Key Contact of the Year Award in 2007,
Robert McLean, MD, FACP
Date and Timing of Program: December 16, 2009, 6:00 pm to 9:00 pm
Program Sponsors: The American College of Physicians (ACP) Connecticut Chapter’s
Council of Early Career Physicians (CECP)
Audience: ACP early career physician members in Connecticut. Our chapter has a cochairmanship model, each co-chair responsible for recruitment and program hosting in
different regions of the state. For larger events, members from the entire state are
invited. For this program, all ACP early career physicians in the state of CT were invited
via email correspondence from our main chapter office executive director. The program
was designed for all early career physicians regardless of type of practice or subspecialty. The email list supplied by the ACP was not complete and was supplemented
by names from the co-chairs as well as other ACP Early Career Physician members. A
great deal of enthusiasm was generated by the program and it was attended by 27
members.
Planning/Coordination: At events hosted in the state, the attendees are polled for
topics they would feel helpful to their personal and professional development.
Advocacy has come up on several occasions given the state of healthcare in the current
political climate.
Program Objectives:
o Introduce the state of healthcare reform and provide an overview of the
ACP’s position
o Review opportunities for advocacy at the national, state, and local levels
 National: Key Contact Program, LEAD program, Leadership day
 State: Health and Public Policy Committee, Connecticut State
Medical Society, volunteering to give congressional testimony,
meeting with members of CT House and Senate
14
Speakers:
 Local: Writing op-ed pieces, teaching advocacy to residents,
o Discuss recent successful ACP-related advocacy campaigns
o Introduce Key Contact Program, LEAD program, and Leadership day as
potential opportunities to become involved
o Dr. Robert McLean, our chapter Governor, has a long history of advocacy
and has served as the Chairman of the state Health and Public Policy
Committee, is a member of the National Health and Public Policy
Committee and has been awarded Key Contact of the Year in 2007. He
was chosen as a speaker based on these credentials and his track record
of successful advocacy. The program was also attended by our current
Health and Public Policy Committee Chair; however, he was unable to
make the entire meeting.
Program Agenda:
6:00-6:30: Welcome and Introductions
6:30-7:45: Dinner and program overview
7:45-9:00: Q&A
Food:
Comments
o Local restaurant with a private room which can hold up to 50 people.
o Attendees were allowed to order from the regular menu.
o This was a well-attended and well-received event that was highly
publicized via blast emails and word of mouth prior to the program.
o Having a private room for this type of discussion was key.
o Given our Governor is also a strong supporter of advocacy within the ACP
his involvement seemed natural. Other options would include: invitations
to state public officials or staffers who cover healthcare in their agenda,
partnering with state medical societies to increase audience, inviting a
panel of officials with differing views on the topic to create more of a
debate format.
o Our state has two medical schools and the populations of physicians
seem to gravitate to the closest institution. We are most successful when
we hold two simultaneous events or hold later events in order to
accommodate the hour plus of travel with traffic in a central site.
15
Conversation with the Attorney General
A Council of Early Career Physicians Program toolkit
This document is part of a series intended to assist local ACP Chapters in developing
program content for their members. This is a detailed blueprint for how one local ACP
Chapter developed a program for its members. You may copy this or simply use parts of
it as inspiration for developing content in your own Chapter.
Title: “Conversation with the Attorney General”
Setting of Program: Drinks and hoer d’oeuvres in a reserved reception room at a local
restaurant.
Date and Timing of Program: Tuesday, July 19th, 6:30 pm to 9:00 pm
Program Sponsors: The American College of Physicians (ACP) Delaware Chapter’s
Council of Early Career Physicians (CECP).
Intended Audience: This program was sponsored and initially designed for early career
physician members of the chapter. In order to increase attendance it was opened to all
ACP chapter members including those not considered “early career physicians.” Spouses
were also invited.
The Chapter Governor sent email notification of the event using the ACP chapter list
serve. The email was composed by CECP leadership. This email notification was sent 1
month prior to the event and repeated 2 weeks prior and 1 week prior to the event. The
initial email notification would have gone out sooner but logistical details were still
being managed.
Most attendees RSVP’d immediately after receiving the email notification or in the 7
days leading up to the event. Ultimately, the event was attended by approximately 20
physicians.
Planning/Coordination: Delaware CECP typically sponsors at least 2 events annually.
Email between CECP leadership (and including the Chapter Governor) was used to
determine the topic for this event as well as the location. This began 3 months prior to
the actual event.
16
Program Objectives:
o Opportunity for conversation in an intimate environment with the State’s
Attorney General
o Discussion of critical topics of mutual interest including new state
legislation relating to physician regulation
o Expose the Attorney General to the ACP
o Networking with the Attorney General and amongst ACP members
Speakers:
o The setting was informal and the Attorney General was not asked to
make a formal presentation. Ultimately, after some refreshments and
networking, chairs were set up in a circle and an informal question and
answer session was conducted.
Program Agenda:
6:30-7:30: Meet and greet with food available. This was the key time for networking
as people trickled in, including the Attorney General who was expectedly
late.
7:30-8:30: Conversation
o ACP and CECP were introduced including an introduction by the Chapter
Governor
o After gathering in a circle the Attorney General had a few introductory
comments and anecdotes prior to opening the floor for questions
o Questions and comments were solicited and a conversation was
maintained with the Attorney General
8:30-9:00: Wrap up
Food:
Comments
o Used the restaurant menu and wait staff.
o The menu was ordered ahead of time with flexibility based on potential
food preferences. Food preferences were not solicited prior to the event.
o The wait staff was asked to minimize interruptions during the
conversation portion of the event.
o For this event it was good that we had an intimate environment and
moderate turnout as it facilitated the conversation aspect of the event.
o In hindsight, it would have been useful to have someone taking notes
during the conversation. The notes would have served to give a summary
to the rest of the Chapter membership about the topics discussed during
the event. Notes would also have allowed us to follow up with the
Attorney General on any points of clarification.
17
Conflict Management
A Council of Early Career Physicians Program Toolkit
This document is part of a series intended to assist local ACP Chapters in developing program
content for their members. This is a detailed blueprint for how one local ACP Chapter
developed a program for its members. You may copy this or simply use parts of it as inspiration
for developing content in your own chapter.
Title: “Conflict Management- How to make the most of a difficult situation.”
Setting of Program: Buffet dinner and panel discussion
Date and Timing of Program: Tuesday October 25, 2011, 6:30 pm to 8:30 pm
Program Sponsors: The American College of Physicians (ACP) and Southeastern Pennsylvania
Chapter’s Council of Early Career Physicians (CECP)
Intended Audience: This program was open to both ACP and non-ACP members of the medical
community including primary care physicians, hospitalists, and subspecialists. In order to
increase attendance, residents of any year in training were invited, as well. It was initially
advertised to “early career physicians” fellows, chief residents in Philadelphia and surrounding
counties. Closer to event, initiation was expanded to include residents.
Most attendees RSVP’d in the 10 days leading up to the event. The Chapter Executive director
used ACP list serve to email invitation as well as CECP sending personal emails (see example at
the end). It was also advertised in the quarterly CECP membership newsletter. Registration
was required via email to executive director. Ultimately, the event was attended by
approximately 30+ physicians.
Planning/Coordination: CECP used evening telephone conference calls and one planning dinner
to determine topic for event, choose speakers, delegate roles/responsibilities and work out
logistics. This began 3-4 months prior to the actual event.
Program Objectives:
• Present and discuss common conflict scenarios
• Review common strategies in the management of conflict
• Receive helpful materials.
Speakers:
18
•
Once topic decided, CECP determined that 2-3, diverse speakers would be
recruited.
•
Based on personal knowledge of individual figures in the community who were
known to be involved in this subject, members of the CECP personally reached
out to selected physicians to invite them to speak.
•
The three speakers consisted of 1) A department chair of a local, large university
hospital, 2) An experienced psychologist who worked with physicians and 3) An
academic faculty member of a large university
•
Once the three panelists confirmed their interest in being panelists, we had one
conference call with them as well as group email conversations to iron out
details of event.
Program Agenda:
6:30 Dinner and Networking session
7:00
7:10
7:20
Introduction- by 2 CECP members
· Panelist brief biosketches
· Outline of evening
· Difference between conflict resolution and negotiation
Panel Discussion- 6-8 minutes per speaker followed by brief 1-2 min pause to
record audience questions on whiteboard (for later address)
· Dr. Katz- Managing the emotional aspect of conflict
Dr. Moser- Thomas-Kilman Conflict Mode Instrument- discussion of the
“instrument” and its use
7:30
Dr. Reynolds- conflict negotiation
7:40
Case presentations for review by participants: 2-3 depending on time (10-15
minutes each)- moderated by Baber/Rachel with support from panelistsmoderators to try to incorporate responses to questions in this section
8:10
Open QA session
8:20
Take home points- 1-2 minutes per speaker
8:26
Closing comments by moderators
8:30
Adjourn
Food:
•
•
At a mutually agreed upon restaurant, away from the “city” for this event to
include outlying physicians
Food: both vegetarian and non-vegetarian options were available- menu was
chosen with help from the restaurant manager by a member of the CECP
Comments/Suggestions
19
o
It is important to clarify objectives to panelists beforehand so they can tailor their
thoughts to the main points you wish to get across. For example, some of our panelists
used their time to discuss specific cases.
o
A question asked by the moderator that helped focus the conversation and keep from
trending away from the core content. The topics of conflict management can invite a
number of “personal agendas and anecdotes”. Moderating to keep it general was
important.
o
We had a flip chart with markers available for scribbling/drawing, especially the TKI
model for personality types in conflicts.
o
By opening up the evening to residents, we were able to enroll a number of them into
the ACP.
20
Financial Planning for the “Newly” Employed
A Council of Early Career Physicians Program toolkit
This document is part of a series intended to assist local ACP Chapters in developing
program content for their members. This is a detailed blueprint for how one local ACP
Chapter developed a program for its members. You may copy this or simply use parts of
it as inspiration for developing content in your own Chapter.
Title: “Financial Planning for the ‘Newly’ Employed’.”
Setting of Program: Limited-choice sit-down dinner; experienced financial speaker
addressing the large step-up in income, investment strategies for late-starters, how
many types of insurances are truly necessary
Date and Timing of Program: Thursday, March 10, 2011, 6:00 pm to 8:00 pm
Program Sponsors: The American College of Physicians (ACP) Connecticut Chapter’s
Council of Early Career Physicians (CECP)
Audience: ACP early career physician members in Connecticut. We have a co-chair
situation that divides the state into northern and southern halves. Both groups had
invites emailed via our main chapter office executive director. The program was
designed for all early career physicians regardless of type of practice or specialty. The
email list supplied by the ACP was not complete and an email list was generated at the
event to expand our list serve. The setting was intimate and kept small to allow
discussion of individual circumstances. It was attended by 15 physicians.
Planning/Coordination: At each event, the attendees are polled for topics they would
feel helpful to their personal and professional development. Financial issues always
surface in the top three topics on the list.
Program Objectives:
o Learn about investment strategies for new physicians to help off-set the
delayed start due to school and residency
o Explain why insurance coverage for homes, cars, disability and death help
prevent financial ruin during times of loss
o Discussion about living below your means
o Delayed gratification model of overspending for physicians
21
o Financial protection in case of law-suit: is an L.L.C. helpful
o Individual Discussion time
Speakers:
o After interviewing several financial advisors, one was chosen who already
advises a fair number of physicians. He was chosen mainly for his skill
and his accurate perception of the challenges facing the newly graduated
physician.
Program Agenda:
6:00-6:30: Welcome and Introductions
6:30-7:30: Dinner and Lecture
7:30-8:00: Q&A
o Individuals were able to ask general and personal advice
Food:
Comments
o Local restaurant with a set “per-person” price menu
o The plan was to have an intimate setting to allow for privacy for
individual questions. The group that came and participated was very
engaged, however we realized had this not been the case, the event
would not have been nearly so successful.
o Certain topics, politics, religion, and money, always risk controversy. We
chose to have one speaker that had a working knowledge of the medical
field rather than multiple advisors that differed in their strategy use to
avoid conflict. This obviously also limits the point of views presented and
is a difficult decision.
o The topic was held in lecture format requiring a dinner…a wider audience
is conceivable with only appetizers
o Our state has two medical schools and the populations of physicians
seem to gravitate to the closest institution. We are most successful when
we hold two simultaneous events or hold later events in order to
accommodate the hour plus of travel with traffic in a central site.
22
Transitions in care to and from hospitals,
outpatient settings, and long term care.
A Council of Early Career Physicians Program toolkit
This document is part of a series intended to assist local ACP Chapters in developing
program content for their members. This is a detailed blueprint for how one local ACP
Chapter developed a program for its members. You may copy this or simply use parts of
it as inspiration for developing content in your own Chapter.
Title: “Lost in Translation- Optimizing Transitions in Care.”
Setting of Program: Buffett dinner and panel discussion addressing inpatient,
outpatient, and long term care transitions
Date and Timing of Program: Thursday, May 19, 2011, 6:30 pm to 8:30 pm
Program Sponsors: The American College of Physicians (ACP) Southeastern
Pennsylvania Chapter’s Council of Early Career Physicians (CECP) and the Philadelphia
Medical Society
Intended Audience: This program was open to both ACP and non-ACP members of the
medical community including primary care physicians, hospitalists, and subspecialists.
In order to increase attendance, residents of any year in training were invited, as well. It
was initially advertised to “early career physicians” fellows, chief residents in
Philadelphia and surrounding counties. Closer to event, initiation was expanded to
include residents.
Most attendees RSVP’d in the 10 days leading up to the event. The Chapter Executive
director used ACP list serve to email invitation as well as CECP sending personal emails
(see example at the end). It was also advertised in the quarterly CECP membership
newsletter. Registration was required via email to executive director. Ultimately, the
event was attended by approximately 50 physicians.
Planning/Coordination: CECP used evening telephone conference calls to determine
topic for event, choose speakers, delegate roles/responsibilities and work out logistics.
This began 3-4 months prior to the actual event.
23
Program Objectives:
o Discuss techniques to reduce errors and improve patient care.
o Learn the challenges and tips for navigating patient transition to and from
hospitals, assisted living facilities, and nursing homes.
o Learn Q I development and benefits from the patient centered medical
home.
o Discuss Transitions of Care and how patients successfully cross the entire
continuum of care.
o Receive helpful materials.
Speakers:
o Once topic decided, CECP determined that the three main stakeholders in
a transitions of care discussion were primary care physicians, hospitalists
and long term care practitioners.
o Based on personal knowledge of individual figures in the community who
were known to be involved in this subject, members of the CECP
personally reached out to selected physicians to invite them to speak.
o Ultimately, the three speakers consisted of 1) An academic hospitalist, 2)
An ambulatory-based internist with an interest in promoting patient
centered medical homes and 3) A geriatrician.
o Once the three panelists confirmed their interest in being panelists, we
had one conference call with them as well as group email conversations
to iron out details of event.
Program Agenda:
6:30-7:15: Meet and greet with food available. This was a good time for networking.
7:15-7:45: Panelist statement (10 min each)
7:45-8:15: Q&A
o We set up the tables in a large square with the panelists on one end.
Used informal approach to encourage discussion and debate. We felt
that this format would be more likely to keep an audience at an afterhours event engaged.
o Some general handouts (i.e. AMDA white paper on transitions) were
made available at the registration table.
o To start, each panelist was introduced by a CECP moderator. Each spoke
informally for approximately 10 minutes on their views of transitions of
care, how it affects their practices and what they perceive as the main
issues.
o For the remainder of the evening, the floor was opened to questions and
comments. A lively conversation ensued.
Food:
o Used caterer that we had prior positive experience with.
o Food was delivered one hour before start of event and kept warm in
chafers.
24
Comments
o Both vegetarian and non-vegetarian options were available. Menu
consisted of some canapés, salad, pasta dish and chicken dish.
o CECP supplied soda, water, wine and cookies.
o It is important to clarify objectives to panelists beforehand so they can
tailor their thoughts to the main points you wish to get across. For
example, some of our panelists used their time to discuss issues with
transitions that they personally encounter whereas we were looking to
focus more on systems success and failures.
o A question asked by the moderator that helped focus the conversation
was to have each panelist briefly discuss what evidence exists or what
research has been done within their specific venue of care that they use
to help in transitions. That led to the primary care panelist discussing the
patient centered medical home, the hospitalist discussing Project Red
and Project Boost and the long term care specialist discussing the AMDA
white papers. An interesting discussion point was how EHR's have
affected transitions. Also discussed was the lack of access to inpatient
electronic records at long term care facilities.
o It is important to determine audience at onset. A simple show of hands
of who was in primary care, hospitalist, etc. really helped the panelists
determine where they needed to concentrate. For example, there was
only one geriatrician working in long term care practice, so our long term
care panelist was able to provide a lot of useful insight into what
transpires on the receiving end of a patient transition from a nursing
home or assisted living to the hospital.
25